Payment overview · 2025
General Payments
$186.82
3 reported records · 2 companies
Healthcare provider profile · identity verified
Steven Michael Sanders, MD
Allopathic & Osteopathic Physicians|Family Medicine · GADSDEN, AL · NPI 1508874512
Verified facts
What the public records show
CMS Open Payments records show Steven Michael Sanders, MD received $186.82 in general payments during 2025 across 3 reported records.
Novo Nordisk Inc accounted for 64.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
Astellas Pharma US Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Myrbetriq by this doctor in 2024.
Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 166 claims for Ozempic by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $121.00 | 64.8% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $65.82 | 35.2% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $186.82 | 3 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $121.00 | 1 | 2025 |
Source payment records
|
|||||
| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $65.82 | 2 | 2025 |
Source payment records
|
|||||
* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
166 | 28 |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 994 | 295 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 863 | 103 |
| Amlodipine Besylate | Amlodipine Besylate | 770 | 223 |
| Levothyroxine Sodium | Levothyroxine Sodium | 592 | 153 |
| Pantoprazole Sodium | Pantoprazole Sodium | 508 | 146 |
| Gabapentin | Gabapentin | 506 | 107 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 427 | 127 |
| Omeprazole | Omeprazole | 424 | 121 |
| Losartan Potassium | Losartan Potassium | 410 | 128 |
| Clonazepam | Clonazepam | 403 | 51 |
| Montelukast Sodium | Montelukast Sodium | 365 | 104 |
| Metoprolol Succinate | Metoprolol Succinate | 359 | 110 |
| Metformin Hcl Er | Metformin Hcl | 354 | 116 |
| Lorazepam | Lorazepam | 349 | 61 |
| Farxiga | Dapagliflozin Propanediol | 341 | 59 |
| Pioglitazone Hcl | Pioglitazone Hcl | 339 | 99 |
| Tramadol Hcl | Tramadol Hcl | 310 | 52 |
| Meloxicam | Meloxicam | 303 | 91 |
| Spironolactone | Spironolactone | 296 | 78 |
| Alprazolam | Alprazolam | 278 | 33 |
| Carvedilol | Carvedilol | 252 | 70 |
| Jardiance | Empagliflozin | 223 | 47 |
| Tamsulosin Hcl | Tamsulosin Hcl | 209 | 62 |
| Furosemide | Furosemide | 193 | 70 |
| Sertraline Hcl | Sertraline Hcl | 191 | 60 |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 187 | 55 |
| Celecoxib | Celecoxib | 179 | 41 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 176 | 46 |
| Zolpidem Tartrate | Zolpidem Tartrate | 173 | 29 |
| Ozempic | Semaglutide | 166 | 28 |
| Azithromycin | Azithromycin | 164 | 125 |
| Duloxetine Hcl | Duloxetine Hcl | 160 | 37 |
| Lisinopril | Lisinopril | 155 | 46 |
| Topiramate | Topiramate | 151 | 34 |
| Ondansetron Hcl | Ondansetron Hcl | 146 | 57 |
| Tizanidine Hcl | Tizanidine Hcl | 145 | 38 |
| Pregabalin | Pregabalin | 140 | 24 |
| Mounjaro | Tirzepatide | 138 | 15 |
| Famotidine | Famotidine | 136 | 42 |
| Quetiapine Fumarate | Quetiapine Fumarate | 134 | 29 |
| Clopidogrel | Clopidogrel Bisulfate | 132 | 43 |
| Eliquis | Apixaban | 128 | 29 |
| Hydrochlorothiazide | Hydrochlorothiazide | 118 | 39 |
| Prednisone | Prednisone | 116 | 67 |
| Donepezil Hcl | Donepezil Hcl | 115 | 38 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 112 | 14 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 110 | 27 |
| Atenolol | Atenolol | 108 | 34 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 101 | 66 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 99 | 30 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 93 | 23 |
| Fluconazole | Fluconazole | 87 | 54 |
| Glimepiride | Glimepiride | 84 | 30 |
| Citalopram Hbr | Citalopram Hydrobromide | 83 | 21 |
| Trazodone Hcl | Trazodone Hcl | 83 | 19 |
| Fluticasone Propionate | Fluticasone Propionate | 82 | 38 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 81 | 21 |
| Fluoxetine Hcl | Fluoxetine Hcl | 80 | 27 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 79 | 13 |
| Diazepam | Diazepam | 77 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 74 | 39 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 68 | 20 |
| Pravastatin Sodium | Pravastatin Sodium | 65 | 21 |
| Meclizine Hcl | Meclizine Hcl | 64 | 24 |
| Amoxicillin | Amoxicillin | 63 | 34 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 62 | 15 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 60 | 16 |
| Promethazine Hcl | Promethazine Hcl | 60 | 14 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 59 | 39 |
| Diclofenac Sodium | Diclofenac Sodium | 59 | 17 |
| Ropinirole Hcl | Ropinirole Hcl | 58 | 15 |
| Theophylline Er | Theophylline Anhydrous | 58 | 27 |
| Allopurinol | Allopurinol | 57 | 16 |
| Ezetimibe | Ezetimibe | 57 | 21 |
| Metformin Hcl | Metformin Hcl | 57 | 18 |
| Escitalopram Oxalate | Escitalopram Oxalate | 55 | 14 |
| Valsartan | Valsartan | 55 | 16 |
| Warfarin Sodium | Warfarin Sodium | 54 | 11 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 53 | 16 |
| Doxycycline Hyclate | Doxycycline Hyclate | 52 | 20 |
| Ipratropium Bromide | Ipratropium Bromide | 52 | 15 |
| Nystatin | Nystatin | 52 | 15 |
| Colesevelam Hcl | Colesevelam Hcl | 51 | 11 |
| Doxepin Hcl | Doxepin Hcl | 49 | 14 |
| Finasteride | Finasteride | 49 | 14 |
| Nortriptyline Hcl | Nortriptyline Hcl | 49 | 16 |
| Acyclovir | Acyclovir | 48 | 16 |
| Paroxetine Hcl | Paroxetine Hcl | 48 | 16 |
| Entresto | Sacubitril/Valsartan | 47 | suppressed |
| Levetiracetam | Levetiracetam | 47 | suppressed |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 47 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 46 | 14 |
| Estradiol | Estradiol | 46 | suppressed |
| Methocarbamol | Methocarbamol | 46 | 11 |
| Lansoprazole | Lansoprazole | 45 | 11 |
| Mirtazapine | Mirtazapine | 45 | 17 |
| Cholestyramine | Cholestyramine (With Sugar) | 44 | 17 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 42 | 12 |
| Amitriptyline Hcl | Amitriptyline Hcl | 41 | 14 |
| Simvastatin | Simvastatin | 41 | 12 |
| Temazepam | Temazepam | 41 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 40 | 35 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 39 | 14 |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 38 | 16 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 37 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 36 | 13 |
| Memantine Hcl | Memantine Hcl | 35 | 11 |
| Bupropion Hcl Sr | Bupropion Hcl | 34 | 12 |
| Valacyclovir | Valacyclovir Hcl | 34 | 17 |
| Hydralazine Hcl | Hydralazine Hcl | 33 | suppressed |
| Lamotrigine | Lamotrigine | 33 | suppressed |
| Potassium Chloride | Potassium Chloride | 33 | 12 |
| Naproxen | Naproxen | 31 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 31 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 31 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 30 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 30 | 12 |
| Metolazone | Metolazone | 28 | 11 |
| Synthroid | Levothyroxine Sodium | 28 | suppressed |
| Aripiprazole | Aripiprazole | 27 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 27 | suppressed |
| Invokana | Canagliflozin | 27 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 25 | suppressed |
| Ranolazine Er | Ranolazine | 25 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 25 | suppressed |
| Xarelto | Rivaroxaban | 25 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 24 | suppressed |
| Eszopiclone | Eszopiclone | 24 | suppressed |
| Primidone | Primidone | 24 | suppressed |
| Bupropion Xl | Bupropion Hcl | 23 | suppressed |
| Januvia | Sitagliptin Phosphate | 23 | suppressed |
| Sucralfate | Sucralfate | 23 | suppressed |
| Ibuprofen | Ibuprofen | 22 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 21 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 21 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 15 |
| Propranolol Hcl | Propranolol Hcl | 21 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 21 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 20 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 20 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 20 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 20 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 19 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 19 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 19 | suppressed |
| Cephalexin | Cephalexin | 18 | 16 |
| Nadolol | Nadolol | 18 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 18 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 18 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 17 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 16 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 16 | suppressed |
| Colchicine | Colchicine | 16 | suppressed |
| Dutasteride | Dutasteride | 16 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 16 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 16 | suppressed |
| Phenobarbital | Phenobarbital | 16 | suppressed |
| Torsemide | Torsemide | 16 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 15 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 15 | suppressed |
| Modafinil | Modafinil | 15 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 14 | suppressed |
| Irbesartan | Irbesartan | 14 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 14 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 14 | 14 |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 14 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 13 | suppressed |
| Icosapent Ethyl | Icosapent Ethyl | 13 | suppressed |
| Jantoven | Warfarin Sodium | 13 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Atenolol-Chlorthalidone | Atenolol/Chlorthalidone | 12 | suppressed |
| Azathioprine | Azathioprine | 12 | suppressed |
| Cartia Xt | Diltiazem Hcl | 12 | suppressed |
| Carvedilol Er | Carvedilol Phosphate | 12 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 12 | suppressed |
| Dutasteride-Tamsulosin | Dutasteride/Tamsulosin Hcl | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 12 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Dapagliflozin | Dapagliflozin Propanediol | 11 | suppressed |
| Latanoprost | Latanoprost | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Myrbetriq | Mirabegron | 11 | suppressed |
| Oxycontin | Oxycodone Hcl | 11 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $186.82 · 3 records | Novo Nordisk Inc | Veozah, Wegovy | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US Inc?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error